Active NPI
Demetrio Labso Domingo, D.D.S.
- Dentist
- Washington, DC
National Provider Identifier
1427291277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 41827
- Practice address
- 1701 16TH St NW
217
Washington, DC 20009-3145 - Phone
- (202) 714-8727
- NPI assigned
- Apr 9, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 41827 | CA | Primary |
| Dentist | 122300000X | DEN1000553 | DC | |
| Dentist | 122300000X | 051929-1 | NY |
Addresses
Primary practice location
1701 16TH St NW
217
Washington, DC 20009-3145
Mailing address
1701 16TH St NW
217
Washington, DC 20009-3145
Phone (301) 402-1706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN1000553 | DC | MD | Dentist |
| 051929-1 | NY | MD | Dentist |
| 41827 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239235200000",
"number": "1427291277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 16TH ST NW",
"address_2": "217",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200093145",
"telephone_number": "301-402-1706",
"fax_number": "301-480-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 16TH ST NW",
"address_2": "217",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200093145",
"telephone_number": "202-714-8727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGO",
"first_name": "DEMETRIO",
"middle_name": "LABSO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-09",
"last_updated": "2009-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "41827",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DC",
"license": "DEN1000553",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "051929-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.